Medical Management 

During the 1990s medical costs relating to health, liability and workers compensation claims skyrocketed. Medical services rendered and associated costs escalated even faster for occupational injury claims than other health care costs. Today, close to 50% of all costs related to casualty claims come from medical services and fees.

At The Reny Company, our goals are to:

 Maximize Your Savings

 Assure Appropriate Care at a Fair and Reasonable Cost

 Coordinate Care, Ensuring a Safe, Quick Return-to-work

 

It is for this reason, The Reny Company believes that early "proactive" intervention is needed to assist in reducing these medical costs. Our goal is to decrease these costs and obtain the best value for our clients. We start by identifying the specific cost drivers of our clients individual program and customize our services to aggressively confront those challenges. In establishing the appropriate referral criteria and implementing any combination of our case management services, such as Field or Telephonic Nurse Case Management, Early Return to Work, Utilization Review, Hospital Bill Audits, Life Care Planning, and Peer Review.  We maximize every opportunity to control the utilization and cost of medical care and work disability time. providing the following services to our partnership alliances:

 

Medical Bill Repricing Solutions:

• Medical Bill Analysis
• Specialty Bill Analysis
• Out-of-Network Negotiations
• Provider Payment Solutions

PPO Solutions:

• Preferred Provider Networks
• Pharmacy Benefit Management
• Other Specialty Networks

Case Management Solutions:

• Telephonic and Field Case Management
• Catastrophic Case Management
• Independent Medical Examinations (IMEs)
• Utilization Review (UR)
• Peer Review
• Medical Record Review
• Preauthorization/Precertification
• Physician Advisor Review

 

 

  

• The Reny Company offers medical bill repricing, editing and fraud detection solutions for self-insured corporations, health care companies, third-party administrators and insurance companies. Through the review, validation and correction of medical charges, The Reny Company prevents excessive payments and recommends a reasonable level of reimbursement. 

 

 

                   Let The Reny Company be the missing piece of the puzzle to effectively reduce health care cost and improve care.